Texas Administrative Code (Last Updated: March 27,2024) |
TITLE 1. ADMINISTRATION |
PART 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION |
CHAPTER 354. MEDICAID HEALTH SERVICES |
SUBCHAPTER D. TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM |
DIVISION 5. ACTIONS IN PREPARATION FOR EXTENSION OF THE DSRIP PROGRAM |
SECTION 354.1647. Requests for Adjustments to Certain DSRIP Projects
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(a) Certain DSRIP projects are eligible for an adjustment to the DSRIP project's transition year MLIU QPI goal. These DSRIP projects include: (1) a DSRIP project that HHSC identifies as underperforming on MLIU in the initial demonstration period; (2) a DSRIP project that is reporting on individuals or encounters that meet the MLIU definition for the initial demonstration period, but will not meet the MLIU definition for the extension period; and (3) any other DSRIP project that HHSC determines has a strong justification for an adjustment. (b) Performers of a DSRIP project as described in subsection (a) of this section may, by a date to be determined by HHSC, request an adjustment to the DSRIP project's transition year MLIU QPI goal. (c) Performers with a total value less than $250,000 in demonstration year (DY) 5 may increase their total value to up to $250,000 for each subsequent DY across Categories 1-4. Categories 1-4 are each increased proportionately if a performer chooses this option. Performers eligible for such an option must make this choice by a date to be determined by HHSC. Source Note: The provisions of this §354.1647 adopted to be effective June 16, 2016, 41 TexReg 4241